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20.7.3 First General Review (client has reached 6 cumulative pay periods)
If not already provided, a treating specialist report is required to confirm the incapacity.
Exceptions to this rule are:
- Where there is an ongoing current rehabilitation plan (return to work (RTW) plan).
- Where the client is participating in a Rehabilitation plan the responsibility for obtaining any further medical certification lies with the Rehabilitation Coordinator.
- There is no treating specialist, there is no active treatment plan, where for whatever reason the treating specialist is not suitable or able to provide medical evidence or the circumstances of the claim are particularly complex or contentious. In these circumstances, a report from an independent specialist is appropriate.